Female

Tanisha Clark PHD

Psychologist in Atlanta, GA(View on Map)

Full Name

Tanisha Clark PHD

NPI Number

1053132761

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/24/2024

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1920 BRIARCLIFF RD NE
1920 BRIARCLIFF RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30329-4010
30329-4010

Country

US
US

Telephone Number

(404) 785-9400
(404) 785-9400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2024

Provider Address

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